Butler Cheer Open Gym Waiver

Butler Cheer Open Gym Waiver

Welcome! Please complete this waiver before participating in open gyms hosted by Butler Cheer. Safety is our priority. By signing, you acknowledge the risks involved in cheerleading activities.
Athlete Information

Please provide your details below.
Athlete Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
789101112
Athlete Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Athlete Email Address*
example@example.com
Emergency Contact Information

In case of emergency, who should we contact?
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Athlete*
Medical Information

Please list any relevant medical information.
Allergies / Medical Conditions / Injuries
Current Medications
Assumption of Risk & Liability Waiver
Please read carefully. By typing your name below, you acknowledge:1. Cheerleading, including stunting, tumbling, and jumps, carries risk of injury, including serious injury.2. You are voluntarily participating in open gym activities and assume all risks associated.3. Butler Cheer, its coaches, staff, and volunteers are not responsible for injuries, accidents, or loss of personal property.4. You agree to follow all safety instructions, spotter guidelines, and coach directions while participating.
Athlete Name*

First NameLast Name
Date*

MonthDayYear
Date
Parent/Guardian Consent

.
I give permission for my child to participate in the open gym. I have read and understand the assumption of risk and liability waiver above. By typing my name below, I acknowledge and agree that this constitutes my legal signature and confirms my acceptance of the terms stated above.
Parent/Guardian Name*

First NameLast Name
Date*

MonthDayYear
Date
Open Gym Rules Acknowledgement
By checking below, you acknowledge that you have read and will follow these open gym rules:

- Proper athletic attire and shoes must be worn.
- No jewelry or loose items during activity.
- All stunts, tumbling, and jumps are performed at your own risk.
- Follow all instructions from coaches and spotters.
- Respect all athletes and staff.
I Agree
Should be Empty:

Butler Cheer Open Gym Waiver

Athlete Information

Emergency Contact Information

Medical Information

Assumption of Risk & Liability Waiver

Parent/Guardian Consent

Open Gym Rules Acknowledgement